ROBERT G DOUGLAS (Credential# 547693) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROBERT G DOUGLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029290. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 265 Old Black Point Road, Niantic, CT 06357. The current status is active.
Licensee Name | ROBERT G DOUGLAS |
Credential ID | 547693 |
Credential Number | 1.029290 |
Credential Type | Physician/Surgeon |
Business Address |
265 Old Black Point Road Niantic CT 06357 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-07-29 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1066703 | CSP.0052294 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-04-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 265 Old Black Point Road |
City | NIANTIC |
State | CT |
Zip Code | 06357 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
Find all Licenses in zip 06357 |
City | NIANTIC |
Zip Code | 06357 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NIANTIC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Douglas J Roberts Jr | 56 Four Mile Riv Rd, Old Lyme, CT 06371-1542 | Physician/surgeon | 2008-07-14 ~ 2009-07-31 |
Jeromy Patterson | 4455 Douglas Ave, Bronx, NY 10471-3519 | Physician/surgeon | ~ |
Douglas Duchen | 112 Quarry Rd Ste 120, Trumbull, CT 06611-4877 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Douglas M Griswold | 150 Mansfield Ave, Willimantic, CT 06226 | Physician/surgeon | 1992-10-23 ~ 1993-12-31 |
Douglas M Brandt | 407 Evenwillow Way, Aiken, SC 29803-1769 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas B Bober | 603 Countryside Pl Se, Smyrna, GA 30080-8238 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
Douglas J Van Der Heide | 7 East 85 St, New York, NY 10028 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
Douglas R Porter | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Douglas N. Mintz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).